Search › Arizona › 183500000X
Jack Shalita
NPI 1952065096 · on the registry since 2021 · sole proprietor
Practice
- Address
- 250 W Queen Creek Rd Apt 101
Chandler, AZ 85248 - Phone
- (480) 802-7129
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona